• Randall W Franz and Aleksey Prok.
• Vascular and Vein Center, Grand Medical Center, Columbus, OH 43325, USA. RFranz2@ohiohealth.com
• Vascular. 2009 Sep 1;17(5):293-5.

AbstractA young adult man with Klippel-Trénaunay syndrome presented to our pain management service with complaints of severe lower extremity neuropathic pain (pain scale 8 of 10 on the left and 4 of 10 on the right). The pain in his left leg was so severe that he wanted to undergo a left lower extremity amputation. The patient declined chronic use of narcotic medications for pain relief, believing that this would interfere with his educational and lifestyle pursuits. After a complete evaluation for possible sources of pain, we performed a trial placement of a spinal cord stimulator at the T9 level, which relieved his pain. We then placed a stimulator at the T10 level. At 1 year postimplantation, he was pain free (pain scale 1 of 10 bilaterally) and was able to function normally without narcotic support. We believe this to be the first use of a spinal cord stimulator for lower extremity pain resulting from Klippel-Trénaunay syndrome. We also discuss the clinical evaluation and treatment of a Klippel-Trénaunay syndrome patient with chronic pain.

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